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A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1750442315 |
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| LBN Legal business name | STATE OF IDAHO | ||||||||||||||||
| Authorized official | TRACEY SESSIONS - (ADMINISTRATIVE DIRECTOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 12/13/2006 | ||||||||||||||||
| Last updated | 06/16/2018 - About 8 years ago | ||||||||||||||||
| Identifiers |
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STATE OF IDAHO
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STATE OF IDAHO